| NPI | 1861453482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 9401263) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 9401263) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-04-24 |